589 Coventry PkwyCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 589 Coventry Pkwy
Lot: 18 Block: 3 Addition: Coventry Pass 4th
PID:10- 18403- 180 -03
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Practical Systems
4342B Shady Oak Rd
Hopkins MN 55343
(952) 933 -1868
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
JOANN KRUEGER
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Owner:
Ruth A Buchmayer
589 Coventry Pkwy
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Issued By: Signature
Building
EA081300
11/30/2007
ePermit
eS_ RWwi
9 "?? ? u !n
Cr¢rtificate of CccuPanc4
lwit? of Cfagatt
2evartraeat of laui[bing 3aoveeHon
This Certificate issued 'pursuant to the mquirements of the lJniform Building Code certifying ihat at the time of issuance this structurn was in compliance with the various
ordinances of the Ciry regulating building constructian or we. For the following:
Use Ciassification: SE' DWG Bldg. Pennit No. 21015
----- vff-
Occupanry Type Zo?nin?gDistrict 7ype Goos?.
iCa. . . -5'f61 F. AlM R1, '1'RMFY .
ow,M of euuaing nadms
389 xJVII?i1R1' P iWAY L18, B3, OO?ASS 41A
Bui mg
Address
? AUGUST 17, 1993 .
? `r J Date:
! Building ial
POST IN A CONSPICUOUS PLACE
.'-. a •-?
i . . A
Wertifica#e uf ccc"anc4
Wtt4 of c???
2tvarlmettt of ftiibiug 3860ectian
This Cerrificate issued pursuant to the requiremenrs of the Uniform Building Code
certifying that at the time of issuance this structune was in campliance weth the various
ordinances of tlie City regulating building construction or use. For the joUowing:
SF DWG 21015
Use Claccification: Bldg. Prnnit No.
0-PancY TYPe _ 7.oniuug District E ?RDCOOSL
?M'?
Uvoer of Building LLVC. A?S I,1B, ?, ? CONNIMPPA
.? ?I?
Bui ng Address ??'? P ? Locality
AUGUST 17, 1993 .
Dau•
Building Ofiioal
POST IN A CONSPICUOUS PLACE
' CITIf' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I S1TE ADDRESS:
i UN RECORD
I PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
, i y a? t APPLICANT:
pt.t-.IY t, , r F I,; I , I i'l . i .
? r> I:' 1 15 i 1 0 1 0 +I
TYPE OF WORK:
N { tJ
r<if r t 11 1 Mii
t4..'fiY1'•
W.%:'r,
INSPECTION
. I i . ,. .
'i ,,
a
Hl ;t `! toN
f Mt MARKS;c `iFxl•J COMIitFSI fiJl; VHI 1 i`f {'llipqlilhfii
-1)
Permit No. Permft Holder Date Tetephone #
S/W
PLUMBING
HVAC lJ e?' ? ?a7 " ?G?
ELECTRIC -
ELECTRIC ,? 9?
inspectlon Date Insp. Commenta
Footings I
Foundation 114
Framing
Roofing
Rough Plbg. -7-
Rough Htg.
Isul. ?
Fi?eplace '7• ? -?3
Flnal Htg.
Orsat Test
Final Pibg. Plbg. Inspector- Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final D S
Deck Ftg.
Deck Final
Well
Pr. Disp.
7-7 [
?
Address 589 !;OVENTRY PARKWAY Zip 5512 3
Lctt • • 18 Blk 3 Sub COVINiRY PASS 41H
THESE I1'EMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPEGTION.
Date: AUGUST 17, 1993 Yes No Inspector: s
Final grade (6" from siding) ?
Petmanent steps (garage)
Permanent steps (main entry) VI"
Permanent ddveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential exists.
Conlac[ engineering division at 681-4645 before working in rightof-way or installing undecground sprinkler system.
White • City Copy Yellow - Resident Copy Pink - Contracror Copy 0
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLozNG
3830 Pilot Knob Road Permit Number: 021015
Eagan, Minnesota 55123 Date Issued: 0 5/ 2 6 J 9 3
(612) 681-4675
SITEADDRESS: Lor: ie BLOCK: 3 APPLICANT:
589 COVENTRY PKWY ROTTLUND CQ INC, THE
COVENTRY PASS 4TH (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FOQTING D. .
FRAMING .•
IN3ULATION FINAL
FIREPLACE
I
REMARKS: S&W CONTRACTOR - VAILEY PLUMBING
f--
L
?
d 2 719 ? ? ?
?'?
Requel Oate ?
? FUe No. '- Pou spection
Rea ired?
' Vas C No
? Reatly Now /wai Nooy msoecmr
When Reatly?
I( licensed contraclor ? owner hereby request inspection of above electrical work at:
Job AdtlrePss (SVeet 8ox or Route No.) Ciry
Section No. TowrsM1ip Name or N Ran9e Counry
Occup t(PRINT? Phone No.
Pow r Supplier
Mill r RL Atltlre55
Elec:n I Conlractor iCOmpany Name)
` ConVactor5 Lmense No.
C ???30"
Maihng Aptlress IConrtacloror wner M.aking Inslalialionl
Au;nor.zeo Si5^aiure , COS;:a10wner ong Insiallanon) -?
_ „ Pnone NumDer
46 3-3Br?
MINNESOTA STATE 60ARD OF ELECTRICITY U THIS INSPECTION REQUEST WILL NOT
Grigqs-MiEway Bldg. - qoom S-173 BE ACCEPTEp BY THE STATE BOARD
1821 University Ave.. SL Paul, MN 55100 UNLESS PROPEP INSPECTION FEE IS
'ane(612) 6024800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION N,qEs.ooom.oa
? See mstmctions for completing this lorm on back of yellow copy "X" 9elow N!ork Covered by rhis Request N?wi?-,r -?
g
ew
Aa?
Rep.
Typeof8uilding
AppliancasWiretl C,KOD 'al?
EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heatinq
Apt. BuilCing Dryer Other (Specify)
Comm./Indusirial Furnace -
Farm Air Conditioner
OIM1ar Iryecity) ConVal Remarks:
Compute Inspection Fee Befow:
# Other Fee R Service Enirance Size Fee # CircuiiS'Feeder5 Fee
Swimming Pool
Transformers
Signs 0 to 200 Amps ? 0 to 100 Amps U
Above 200 _ qmps Above 100 _ Amps
Inspecmr's use only. iOTAL
Irrigaiion Booms ^S'O
Special inspection
Alarm/Communication THIS INSTALLATION MAY BE 0
Other Fee E DISCONNECTED IF NOT
COMPLETED WITHIN NTH r
i, the Electrical Inspecior, hereby Rough-in oem ?p
certify that ihe above inspection has - ?
been made. oe?
>.'?•
OFFICE USE :)NLY -
TIIiS Rqu85t VOia 18 ml hOlll
MINNESOTA STATE BOARO OF ELECTRICITV
Griggs-Mitlwey Bldq. - Room 5-173
1821 University Ave., S1. Paul MN 55100
Vho.e (612) 642-0800
Furnace
Air Condi[ioner
9?,a
U/?/y?, REQUEST FOR ELECTRICA ? INSPECTION Ea8.«
ja? See m'simctions lor completing 14S form o back oi yellow cupy. y?L46 932 "X" 8elow Wor'k Covered by This Request
_........e.,,w;.<n
Vew.P.:;? RepJ_ Typeof8uilding
Home
Duplex
Comm.llndustrial
OtApnee Isu??M t. Buiidin9
Farm
?
Compute Inspection Fee Below:
g Other Fee
Swimming Pool
Transtormers
Signs
Irrioation BOOmS
1Other Fee I
I, the Electrical Inspector, hereby
certity that the above in5pection ha5
been made.
1FFICE USE ONLY
'M1is request voiE 18 monlM1S irom
0 to 200 Ami
Above 200 _
clor's use only:
THIS INSPECTION REOUEST WIIL NOT
BE ACGEPTED BV THE STATE BOAFO
UNLESS PFOPEP INSPECTION FEE IS
ENGLOSED.
Fee
0 l0 100
Ahove 11
Service
Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
rnr.noi vTED WITHIN 18 MONTHS. .
ITY Z)FtAGAN
830 Pilot Knob Road
?Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
b:..r
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
PKWY
3
589 COVENTRY
LQT: 18 BLQCK:
COVENTRY PASS 4TH
P.I.N.: 10-18403-180-03
DESCRIPTION:
??I.
B;u"iltlingt? Permit Type
Buiidfng ?44,rk Type
Gonstruet#on T'yl
Zcning
Building Lengtfi
Buil.ding W'idth
?
iyt4
REMARKS:
SF DWG
NEW
R-3 M-1
VN
R-1
54
32
??
euxLox G
021015
@5/26/93
tIm,??? ? t, _??
_c?
9i?£3 l fi^t '?'q '3
5&W CON7RACTOR - VALLEV PLUMBIN6
FEE SUMMARY:
Base Fee
Plan Review
Surcharqe
SAC
SAC $
SAC Units
Subtotal
VALUAYTON
$702.50
$956.69
$59.00
$750.00
100
$1.968.13
$118,000
MISC FEES $1.744.50
Total Fee $3,712.63
CONTRACTOR: '
ROTTLUNU CO INC, THE
5201 E RIVER RD
FRIDLEY MN
(612) 571-0304
Applicant - ST. LIC
15710304 0801335
55421
?
OWNER:
ROTTIUND CO TNE
5201 E RIVER RD
FRIDIEY MN 55421
(612)571-0304
I hereby ackrtowledge that t haVe reatl tMis
in'formatzon is correct and agree to eomply
Statutes and City ot Eagan Qrtl.inancos.
APPLICANT/PERMI SIGNATURE
301
aapl,€caticrTt ansf stater tk#at; the .
tvitb all applieablo S'tatie of iAn«
ISSU BY: SIGNA7URE
REACTIVATE _ uCENED
PERMIT .; '
.
' Ky 2 1 1993
---------------
cinr oF Ec?GAN f3&e.Aw?.,?
1993 BUILDING PERMIT APPLICATION
681-4675
. 4?3 7?. 6.3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificat ions, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ? 'R5 Yaluation of work Zi rfl S?
Site Address: S? COU?-}?('y 9 ?w?/
SiREET SUITE N
Tenant Name: (commercial only) je6++4UitO< <-d' =Nc
IAT ? BIACK ? SIIBD. iA P.I.D. k
Descri tion of work:
The applicant is: wner Gontractor ? Other (Describe)
Name =to ja±F(uN d GD,TMc. Phone 5 I-O v
Property LAST FIRST
OWner Address ?o[ 6- 4- u2d
STREET STE #
City fi ! State X& Zip ,TS?t/Zl
Company Sa.W+,e-- Phone
Contractor Address License #t335' Exp.3' r
/
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber VV'LyVh Processing time for
sewer & water permits is two days onc e ar has been appro ed.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City'of
Eagan Ordinances.
f
l ?iJ
r
5ignature o
App
icant: C
1
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
9 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
O 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex ? 14 Fireplace
[3 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
M31 New ? 33 Alterations ? 35 Tenant finish O 37 Demolish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Y t?
(Allowable) lst F1. sq. ft. City Water ?Es
UBC Occupancy R 3 M-1 2nd F1. sq. ft. PRV Required
Zoning R-I Sq. Ft. total Booster Pump
8 of 5tories Footprint 5q. ft. Fire Sprinkler
Length -5-q-7- On-site well Census Code 4QI
Depth 32' On-site sewage 5 C 5 SWJ ?
?
?
APPROVALS w5 u-.ti
-?-
Planning Building Assessments
Engineering Yariance
REGIUIRED IN SPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Fi nal ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units I
V•lr=;m: S I I S??o o'"
900,K /&:? 6y,00
3z= Ibss
,Yn2 r = Cl6S)
K7'12= '26
.y..? -
IsT FLOoW, KrS'= 141ya
?
?SM7 -_ Iy6 xsY =
51,o8y
ZNO Fi.oon;
29x3u-
???x3y2 p a? f
?sv2KSy=-
qSrY6 18
1
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OP EAGAN
/ 3830 PILOT KNOB RD - 55122 ?(l ?
310? ?0 651-681-4675 l
New Conshucfion ReaulremeMs Remodel/Reoair Reav rem?
? 3 regiriered aRe surveys showing sq. H. ot loi, sq. ff. of house
and QII roofed areas [207, meximum bT coveraae allowed) .
? 2 copfet of plans (show heam 8 window sizes; poured tnd. des(gn; etc.)
? i set ot energy calculations
> 3 copies of hee preservation plan M bt pla}led oFter 7/1/93
DATE:
a?
2 copiea of plan
1 set W energy calculatlona for heated addiHons
1 aHe survey iw exterior oddRlons a decks
CONSTRUCTION COST:
DESCRIPTION OF WORK: /2 f 7C D r7 / q `4 ZI-I
STREET ADDRESS:
LOT: ! c) BLOCK: -'? SUBD./P.I.D. #:
PROPERTY
OWNER
II a '
Name: C- h u_ p" olj Phone
LaaT First Street
City
?
State:
Zip:
Company: 5t_c-1, ?oPhone #: 6-?/ 47J v--Z2)
J (area eode)
CONTRACTOR
Street Address: L ?P License #
/
City ?T 1?'Gc State: Zip:
ARCHITECT/
ENGINEER
Telephone #: area code
Streefi
Ciiy
Sewer 8 water Ilcensed plumber (reautred for new eonstrucHon only):
State:
Zip:
Penalty applies when address change and lot change Is requested once permR is issued.
A
I ?nowiodg? I have read this application, state that the informaNon is cortect, and agree to comply wtth ali applfca6l
?
5 ???f?fy t?s,?af? ; ify of Eagan Ordincnces. „ n
? ? Y iJuJ
Slgnature of Appltcani: a
OFFICE USE ONLY
Yes _ No
Name:
---- ??I II
Tree Preservation Plan Received - Yes - No - Not Required
? - .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors '
? 33 Alteration 0 37 Demolish 8tdg' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Aliowahle)
UBC Occupancy
Zoning
# of Stories
Length
Wldth
APPROVAL5
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAG
5•'J Basement sq. ft
5•V1.1 Main level sq. ft.
V' i GAV, sq. ft.
fL-I sq. ft.
J_ sq. ft.
? sq. ft.
11,10- Footprint sq. ft.
Building C"
Census Code 44
SAC Code v 1
1 ? No. of Units ?
No. of Bldgs O
' MC/ES System
City Water
_?a a..,...,s....n..?? -..,.-_
_ _. ,._._.-..,...-?
Enginee
rx'rv OF EAGAN .
Valuation: r,ASHZ[-h:s S TE.RMIrtAI_ htJe 919
L1A7E., 06/3U/'?9 7IMI?: 1;':?;i.;a43
2?6x
ID;
j NAME. SU5SEL
?
321.0 9001 589 EtlVEN'iF+V 97.25
2155 'jC)n:t 589 CC1V[.P!'TFiY 2.00
?
I
i
t
A
i
?
?
7at,-31 Rec(xipt Anourtta 39.25
CF::I.1.24 i'3
I.IS[I; ]:li n NANCV ?
L19gL 3 CITY USE ONLY RECEIPT #:
SUBD. RECEIPT DATE:
1998 PLUiMMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3836 PILOT KNOB RD
EAGAN, 2M7 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
???----------
FIXTURES --------------
EACH ----------??_??------------??_.
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet "minimum- t 3.00 x =
Rough Openings 7.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler `fardwellingunderwnst. $.OO =
U;G. Sprinkler `torexistin dweuing 20.00 =
Altefatlons " to existing residence = ZO o n
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems) .
Private Disposal Systems • Anandonment 20.00 =
STATE SURCHARGE .50
TOTAL Z? S_O
- -------------- ---------------- ------- -------•-------------------•------------------------°--------
I hereby adcnovrledge that I have read this application, state thst the infortnation is correct, - and agree to comply with all applicable City of Eagan ordinances.
k is the applicant's responsi6ility to notify the property owner that the City of Eagan essumes no lia6ility for any damages caused by the Ciry during its
nortnal operational and maiMenance aclivities M the facilities constructed under this pertnit within Ciry property/rightof-way/easement.
SITE ADDRESS:
CQ (? 2 NT?"y V aY'uW °"
OWNER NAME: r°rv C?h ''L
INSTALLERNAME: [T C?Y'?? , t'i ?L \I I.l Vl'lbtN? TELEPHONE#: 0 I 2- I91 V7
STREETADDRESS: {(? SZ D ?TD N ll -e--
CITY: ?- a K t STATE: n'1 1J ZIP: ?
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
SIGNATURE OF PERMITTEE
FLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
NO. FINELRES E&M
SHOWER 3.iiJ
WAT'ER CLOSET 3.00 °I -
3 BATH TUB 3.00 1.-
LAVATORY
'S 3.00
,
_
KITCHEN SINK
i 3•00 3 -
_
1 LAUNDRY TRAY 3.00
HOT TUB/5PA 3.00
WATER HEATER 3•00 3 -
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00
?
ROUGH OPENINGS 1.50 ?+• ?"
WATER SOFTENER 5.00
PRIVATE DISP. • neway. uc. 15.00
U.G. SPRINKLER • tiome maer oonsi. 3.00
ALTERATIONS ' to ads[ing 15.00
WAT'ER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: q`fi "
SITE ADDRESS: S3)?c??
OWNER NAME: 1 - ? -
INSTALLER: VpI Ii, C
ADDRESS: "f 0 C 2 w l L- -
CITY: J ujc' ,_ STATE: t^- _- ZIP CODB:
PHONE #: ( )
SIGNATURE OF PERMITTEE
177J rLU1viDUNv rc.lu•ua ?ncaaaia.+.+.s-a.+j
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLIlVGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADU-ON A/C
ADD-ON FURNACE
DATE ?sAS,
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OU'TLETS (MINIMUM 1 C 53.00 EACH) ?•??
ADD-ON/REMODEL (EXISTING CONSTRUCI'ION) $ 15.00
STATE SURCHARGE 50
TOTAL ? 'Z
S7TE
OWNER NAME: '?\'??? TELEPI-iONE
INST
CITY:
STATE: ZIP CODE:
TELEPHONE #: S-???_p
1993 MECHANICAL PERMTf (RESIDEIVZTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
?f ' LOT SURVEY CHECRLIST FOR RESIDENTIAL
? + r
W N BUILDIN PERMIT APP ICATION
m >
a ?
m j ¢ PROPERTY LEGAL:
a a W
w < N Date of Survey:
U
` z 2 DOCUMENT STANDARDS
Ca° ?? • Registered Land Surveyor signature and company
? • Building Permit Applicant
? • Legal description
? ? • Address
B?? D • North arrow and bar scale
?'? ? • House type (rambler, walkout, split w/o, split
?ilookout, etc.)
LS ?? • Directional drainage arrows with slope/gradient %.
?'? ? - Proposed/existing sewer and water services
? ? ? • Street name
? • Driveway
ELEVATION3
entry,
Existin4
? C? 0 • Sewer service
Pl ? ? • Lot corners
?i ?? • Top of curb at the driveway
0?? • Elevations of any existing adjacent homes
Protiosed
@?0 ? • Garage floor
p' ? ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
? D 0 • Property corners
Cf ?? • Front and rear of home at the foundation
PONDING AREAS (if applicable)
?? • Easement line
O ? • NWL
? ? • HWL
? D • Pond W designation
0 • Emergency Overflow Elevation
DIMENSIONS
? ? ? : Lot lines
?]/ ? 0 Right-of-way and street width (to back of curb)
Q?? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
/ structures requiring permanent footings)
??? • Show all easements of record and any City utilities within
those easements
C? ?? • Setbacks of proposed structure and setback of adjacent
existing h mes
? /? • Retaining;?all requirements, if any
?
Reviewed:
Da
OCtober 1992
0'.121 En
S?Tc ADDS'SS m ID I?GOGi
CONTR.'1CTOR POM-UND GU .
. -9*1? A -PDJOv .
DATF. PEiONE .
I1ete-min Lrorkini; square footni;e of ench.
1. iotsl expose3 vell area .. rG Z g O sq. ft. x 0'11 _?. 5?•?0 _
• 2. Total roof/ceiling area •• 3s•8 sq. ft. x 0,026 _ ZG ?
• .
Total erposed va'il area nbovc floor = ZzgD
a. Total va.,ll vindov erez . .. ............. ......... L,
b. Tota]. door area ............. ............. .........
c.
Totzl sliding glass door area
._._. . . .. . . .
. . .. .. . ..
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d. Total fire?lece vall e-ea .. ............. .........
e. Total vall framing area (aver age 10'e) .... ......... /a
f. Total net vell area ubove Tlo or .......... ......... /(O 3.75
. 8• Total rim Joist area .:...... ........ .. ......... .2 0i7
. Total exoosed frn:ndntion arca = 0, ? - ?
h. Total foundetion vindow2:ea ............. ......... ? ' 7
i. Total net fo:indation 2rea abo ve grade .... .........
. Deter.r.ine "U" va1Le o; eech vall seFment.
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Totnl ezposed roof/ceilinc Rre1
Total gross roof/cei2int; are:i =
?. Totel skylieht area .......................... - g.?' .
R. Tota2 roof/ceiling franind area ............... -
1. Total net insulated roof/ceiling area ........ Z`_ •
Dete:rsine "U" value for ench ruof/ccilint: seb'mcrit.
r-
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If total of N4 is the ssane es, or less than N2, you have met the inter,t of
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To utilize the total eavelope system method, the values establi:hed by the
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2006RESIDENTIAL PLUMBING PeRnnir APPLicarioN 5O
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date (SZ.P
Site Street Address 00vunkQ I' l(?,t,??f Unit #
?
Property Owner ? Telephone # (1051) yS,;? - 93d-q
Contractor?Y ?6X V??
L? ClkX? Telephone# (?IS? 4b . t%/A"]
I
y
?
Address D City ! ?6Y1 Stafe? Zip '511L)I&
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets oi plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $> 50.00 ?
Add plumbing fixtures. This fee includes installation of a water softener andlor waler
heater at the same time. !f you are insta!ling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
? Water Softener _ YVater Heater $ 15.00
Y new _ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 16, .
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plum6ing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will 6e in
accordance with the approved pian in the event a plan is required to be reviewed and approved.
,.?--
n_? y?
Applican£s Printed Name A nP tSignature
7(?_- -7/ 7
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUC6on Reauirements
3 registered sile surveys shovnng sq. fl. of lot, sq. ft of house; and all roofed areas
(20%mazimum lot coverage allowed)
1 Soils Repod if proposed building is to be placed on disWrbed soil
2 copies of plan showing 6eam & vnndow sizes; poured found design, etc.
i set of Energy Calculafions
3 copies of Tree Preservation Ptan if lot platted afler 711193
Rim Joist Detail Options seiection sheel (6uildinqs with 3 or less units)
Atinnegasco mechanical ventilation form
RemodOVRepaif Requiremenl5
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations fw heated atltlitions
1 site survey for atlditlons 8 decks
Addition - ilMicafe if on-sife sepb'c system
9a °=
?--?.
CLc??
Oflice Use Onlv
CeA of Survey Recd _ Y _ N
SoilsReport _Y _N
Tree Pres Plan Recd _ Y _ N,
Tree Pres Required _Y _ N
On-site Sep6c System _ Y _ N
rians are consiaerea puplic intormation
Dute __1 71 ?-3 ! P7
Site Address `') g7 (:?A ife i1+f V? i.
are trade secret antl the reason.
UniUSte #
Description of Work
Multi-Family Bldg _ y ? N
Construction Cost
?
Fireplace(s) _ 0 _ 1 _ 2
Properfy Owner PjUC ?4yllai N4/- Telephone #(,??)
LAKEWOODS REMODELING, INC.
Contractor _ 9001 E. Bloomington Freeway ?
Address Suite 144
- Btoomington, MN 55420
State ? ... . __ ._.. ._...?
City
Telepboneil(61S3) geSO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Categol'y Resitlential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) ? Submitted Su6mitted
• Energy Envelope Calculations Submitted
In ihe last 12 monfhs, has the City of Eagan issued a permit for a similar pian based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #f
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wili be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but onfy an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pl? in the case of work which requires a review and
approval of plans. /? ,.)
rDN Q/77 ?
ApplicanYs Printed Name
?
f_5_ff°--°-U Q
JUL 0 5 2007
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pi1ot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslrut6on Reouiremenis
3 reqistereC sfte surveys shwring sq. ft. M lol, sq. k M house; and all roWed areas
(20%maximum lol coverage allowetl)
1 Soils Report if propo5ed buildirg is to be placetl on tlisNr6etl soil
2 coDies of plan showing beam 8 window sizes; pouretl tound tlesign, etc.
1 setM Eneryy Calwlations
3 wpias of Tree PreservaUOn Plan d lot plaUed after 711l93
Rim JoiSl Detail Optlons selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventllatlon foim
RerrwdeVtteoair Reauiremenls
2 copies of plan shovnny footings, beams, joisls
1 set of Energy Cakulafions for heated a0ditlons
1 siM suney for addiGOns & dedks
Atldltion - indlcate Hon-site septic systam
Otfice Use OnN
CertofSurveyRectl _Y _N
SoilsReport Y _N
TreePresPlanRecd _V _N.
Tree Pres Requiretl V _ N
On-siteSep6i.Systrm _Y _N
Plans are considered uqlic information unless ou s4a4e the are trade secret and the reason.
nare 10 i 3 i D ',w .?
Coostruction Cost ty`-Y10 ?-
Site Address 5,3'k ?S7YQy`t}r..? Qq,? UniUSte #
Description of Work ?--QR. r D}-? ch A 2- c- VQc;t tr1 C) L? S?
Multi-Famity Bldg _ Y x.' N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Kl,tA-?, 131?CV1 YY10.4 -P_r Telephooe # (la) l)45 r"1I
Contractor ? Q3'1Ajor \-Ury`Q S ?T 'rt C-,
Address ? Cfl q? U Df W eU 1Y 11 L lC? City 5'f'; tJt--Q v-
State (?\U Zip a Te1ep6one#((9J'() '431P -b l1 (,P
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672
• Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submfttetl
In the last 12 monThs, has the City of Eagan issued a peimit for a similar plan 6ased on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber , Telephone #(
Mechanical Contractor ?( J Telephone fl
?
ocr n 4 2007
Sewer/Water Contractor Telephone # (
I hereby apply for a Residentia]
and aclrnowledge that the information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the CiYy of Eagan and the State of MN
Statutes; I understand this is not a permit, buY only an application for a permit, and work is not to star[ without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
C)( N, ?a,'Lf? - (,-)ro &'?"
AppNcant's Printed Name Applic Ys Signature
?.. _
?:-
2422 Enterpriso Oryve
7F ? •
p'iZ71VEER Mendoto Heiyhts, A41,1 55720
*
1N10 SUR yK5 - LYNL EN4INEERS ($12) 681-1914.Fax 681-9
?
T^ ? 1.W0 GUNNENS • LdNDSCME'ARGlITFCT$
?. ??g???B?1?9 625 N+ghwcy 10 Noriheast ?
,k * ? * Blvine, MN 55434,
?(612) 7s3-1seo•faX 783-1
Certificate of Survey for. The RattlUtld COIT1pC7nY. InC. ?
Hause Address: Coventrv ParkwQV Eagan MN
Model Name: Appleton
Gb91'??R 13ACffmAM
$8y'A?,.. AY
20•29•? 415' n16 cyRa
yt ;
G ,112.70,
001
?-
r a ??~l
? SERHCE I o .
? 897....?a I .ef.9
gtu+
6 y' 24,30
? I ?,? ,?w?,?
twh +z Cw" BA??T 18.46 ?
04'31'39' E?g45'
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1 OF SF ?
1
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19
3 .
?
7i
11 1 ? ?? ? O ?
, j 9
,
?$ ,
o5
= Lookout wndow E7evation:883.36
. aoa.o ?enotes Existing Elsvation pRdPOSEp HOU5E ELEVATION
_K3 Denotes Proposed Elevation Lowest F{oor Elevation:880.15
Denotes Drainqge de Utlity Easement
=-Denotes Drainpge Flow Direction ' Top of 81ock Elevation:888.26
--o-- Denotes Monument Garage Sfab Efevatlan:887.93
-B Denotes QfFset Hub Bearings shown are assumed f
I
LOT 18, BLOCK 3 COVENTRY PASS
DAKOTA COUNlY, MINNESOzA. 4TH A D D I TI0 N ?.
I benby artify [hat this turyey, plan er repon was p r¢d by rtK ur vndar my direct wpervision and thac 1 am duly Repfirored Lnd Surveyoi
ueder the laws of tt+e State of Minnespta. Oatad thisay of -11?- A.D. 1? ?
1 , I
i '
SC(7I P.' lInch_4(7feet .,s?e_ e.......... .,. .... ..__.
'? * ? ' • 2422 Enterprise Orjvro
??p • Mendoto Heigh{s, MN 55120
p?O
suaVEvai5 r(.7N1 EH4INEERS ?(612) 681-1914•Fox 681-c
g
lANO PUNNERS-?l?N..OSC-MEJtC111T[CT,...:..l..-..-._._-- ? -?..,._.....?_.'_..?
? en ???,.8? n • S ..
9 625 Flighwcy 10 Northcast
Blaine, N.N 55434.
* ? * (672) 783-1880•?ax 783-
Cer#ificate of 5urvey for: The RottlUhd COmpClnY (f1C. I
?
House Address: Coventry Parkwa,l„r Eagan MN !
Mode) Name: A,ppieton ?
60:?1'"Q"'10R 1ikcH.?+AN .
p ?
ARK Y
? A
? i .
,
? R e 319.05
' 89'?• ?.? t
? ? 48
Ne
p = 20'29 C?R
4 112.70
x B? ? (
4•5
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9 '
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18. ' PB5•y b ""
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.?
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9 ? aez,e 8sj.a ?
? 18 !
I
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w O 1 l s1
?. • ??.?. '
? ? 11 !
1 OF SL ?
,o$5 iS
19
,n ,,:,5
?
? r
?
? `i r? ?TKK x?
? I --JO
1()1
?
? I
: soo.o Denotes Existing Eievotian ^
Denotes Proposed Elevation,f
Denotes Drainage dc Utility Easement
- - Denotes Drainage Flow Direction
'---o- Denotes Monument
-e- Denotes Offset Hub Bearings shown are
V
?
I
i
Lookout wndow Elewtion:883.36
PRdPOSED HOU5E ELEVA710N
Lowest Floor Elewtion:880.t5
' Top of 61ock Elevation; 888.26
Garage Slab Elevat(on:887.93
assumed I
i
LOT 18 , BLOCK 3 COVENTRY PASS
OAKOTA COUN7Y. MINNESOTA . 4 TH A D D I TI 0 N ?.
rq
1 AcrabY artlfy chat this jurypy? Olan or reppry we9 p rqd by me or undar my dirlcl supeNition ard tMt I am duly Ropltlered Land Surveyoi
uMer tM lavrs of tbt SntE ol Minnesp ts, D atW t hif yofA.D.799-.-3-
. . !
SC:C7lP.' lineh-4nfeet „ _e........., ..? ......._.
e?a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119158
Date Issued:11/18/2013
Permit Category:ePermit
Site Address: 589 Coventry Pkwy
Lot:18 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ruth A Buchmayer
589 Coventry Pkwy
Eagan MN 55123
(651) 452-9329
Gladstone's Window & Door Store
2475 Maplewood Drive
Suite 110
Maplewood MN 55109-0000
(651) 774-8455
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
Clt 0����1�Il . .._. , �
/o��D.�� i
� Permit#: �
(� � / � I
� b � Permit Fee: "'v � I
aCT242014 '
3830 Pilot Knob Road I
Eagan MN 55122 � /a J�
Phone:(651)675-5675 � Date Received: ' �� �
Fax:(651)675-5694 j �
._.,. .. __
� Staff: I
���������������� J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date:,
s�j._�C'}_.j'� Site Address: �� �l � ( L/���'i�ic';'� /,��'��/�} •�
.��
Tenant �-� '�i..�°"C.17r�✓`r���:� Suite#:
Name: ��`�l� �i:�C_1�/`'I�7'�..I�� Phone:L���:�-' T_�, y,��.=�
Resident/Owner �
�' Address/City/Zip: � ��l� ��a�f"sz-'`''i !�% �"�>�=��-*-''�'� y
Name: /a�vd E � ` 1►'v �" License#:
�,
Contractor Address: �? �� C_>t�f<�-�' ,-9�'�' � city: �ii�--�-L�-�i�`'"�.
State: ��v�/ Zip:���/���"� Phone: C:����" ��!e`�✓ ��
.----�
Contacta_.�G'�L-- ��,'�L=�-�L,,: Email: �4�t i..-�� l�f i.,)� i�'%fS�f?�E;'��/�•��? �'�� ',
� New Replacement Additional Alteration Demolition
�
Type of Work Description of work� � � _�:� x e* �yn
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City �
Code. Please contact the Mechanical lnspector for information on permitted screening methods. �
RES/DENTIAL COMMERC/AL
�Furnace New Construction _Interior Improvement
� Air Conditioner Install Piping Processed
Permit Type — — —
Air Exchanger Gas _Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
� RESIDENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) ' � �' ��
$100.00 Residential New(includes$5.00 State Surcharge) _$ � TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"
"*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
*"`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is no s rt without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans. �
X )(.`C t_-�- t.��'`k�:'f. � X r-' ��
ApplicanYs Printed Name plicanYs Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough tn Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
� � r———————^'———————— �
I For Office Use �
• � � �� I
� Permit#:�, �
� � � � �
�� O� �� �� I Permit Fee: � � �
3830 Pilot Knob Road � �_ f , �� �
Eagan MN 55122 � Daie Received: �� �
Phone:(651)675-5675 � C �
Fax:(651)675-5694 i Staff: ��� '
---------------���x��
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
� �� E � . � �-l�
Date Site Address: ) � .'�{" �4J ' ��- V� Unit#. ���
Name: �U�r�j �-��!i:� � �� Phone:S,r�`1�l`�C> '����C>�
��t1� t�, � �
` (�C�� Address/City/Zip: �''t ' l�'l�v`�' � t�,J'
;
Applicant is: Owner �Contractor
Description of work: �;��,>,��YY`�.'�l�l^�- "'�l�1,��Y'1,
��'�#�;�� ":
`��� Construction Cost: ���p.����� � Multi-Family Building: (Yes /No�,}
o,�
.
�.. . .
n, �
,, .
w `
Company: �E:��`�C;i�; �i";i�1.;`�y-i�''.l�1�Yi�'.�t/�L�',ZConact: ���j�1 �b:9�'Y'l
����'��#Q�., Address �l'..��.7 �viC_!��C`��i.G�� �``C.- City: � �: �` ��
State:�Zip:�� Phone:�;r`l �°��'�'G;�v�E�mail: ��7'��-('�1ft�-�i i��.Y��'✓�y���.. ir�t
: 7
License#: �� ���' �� �� Lead Certificate#: ��i��'"( � ��✓��'�
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) \
s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 morrths,has the City ot Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: pho�; �
Mechanical Contractor: Phone: ''
Sewer&Water Contractor: Phone:
,N�`t"�"��at������tl�#��a��#��ta�i����"�'���r��r»�k'�t��+�r�rs����z:�����ff��;���,�� l�"r3l�E���� k
the tn��a�r�'�r�t,�.,��T�,s���r��;��1���t,��������������r����������r�
,�ai�r��;;�i�r!#ti �+'e���;�r�� .�u � � �r;
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.QOpherstateonecall.or4
I hereby acknowledge that this information is complete and accurate;that the wrork will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a perrnit, but oNy an application tor a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permlt issued In accordance with tt�Minnesota State Bullding Code must be completed within 180
days of mtt issuance.
.
,�- < '`�' ,
x ��i��/i4'l,°t (�G*+�i'}�y `� V � ' '
�`C`✓L�.J ��"1!'7 �C�_�l=1'j, ; �
Ap�icant's PriMed Name � cant's Signature
Page 1 of 3
���� ��fE� ^�'�`'� �`�`;`�
DO NOT WRITE BELOW THIS LINE I a-� 1���
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Stngle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Muiti)
_ Multl _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellar�ous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Suilding
WORK TYPES �i tn[�(� ��5�iMLW4'C�f v�-���1'�>
T New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
T Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Well 'Demoiftion of errtire building-give PCA handout to appiicant
DESCRIPTION
Valuation ( ��b S� Occupancy ��c� MCES System
Plan Review � Code Edition Zp[5" rv�SRC. SAC Units
(25%_100%� Zoning _(� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �.��_ Width
REGIUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation �/ HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _,Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings,Backfill_Final
Sheetrock Radon CoMrol
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee � � � � �2 ' � G'��
Surcharge �
Plan Review �r ,/ �`i ,_, � �
MCES SAC '' �� r
City SAC � p� „j � ZD,�= � ����
Utility Connection Charge "
S&W Permit&Surcharge
Treatment Plant
Copies �
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r——_____.—________�
i For Office Use �
� I
' � Permit#: � ��� I
City of ���a� � �� �
� Permit Fee:
3830 Pilot Knob Road � i
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651) 675-5694 L Staff:______________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: � –1 ���S Site Address: � � / ������'�y ��`�j
Tenant: � �uC�'1 �''� �� Suite#:
ti � `�� �
°a�'�� � � ��_�� �u.-F� (Q ����� � �.��-��-� �Y���-
���#��� �� Name: UC� Phone:
�onl������ ' �' /� �' .L� �Q/
�:������mn������� Address/City/Zip: (�U f/'�dl-f r / l ��
�,� �s � z �
� � /� � �
�,��� .'����' : ,���"� � Name: ��� ����L�c���/!�-P, License#: ��D�'�'7 ��.3
�
�
� � ��'"� : Address: �1 � ��-�-�'� S ' City: V�"`�S t�ff6�'S
�����I�I�+�`�'�''�"e�C"�t#f"����� �`
� �, , rf -� ���_��� �8S- �
� � State: 1�� Zip: c5 J 1 �" Phone:
� �wU_
,_ .,.: _ . ==�`il�` =".. :� Contact:_�C.� � EmaiL ��XS�� �� � �'lSff✓��E`v^
. ,.� k�� .. . _ . . .
�� ��° p���� � �New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
�h���`�� '�����'� ,������` �i.S�i�f �Gz aw�e2 .�.Pr9c'.iJ a f L�;S��,� /���-.�r°j�
��� . Description of work: !
�� � �' � RESIDENTIAL � -�^r �'
��
��'i��,�� `�'��� �s��p�
r �� mi __
��� Water Heater
� Water Softener
���'�a����''�' � � p��` Lawn Irrigation�RPZ/_PVB) �
'���°���`���m��t T� �=
x��;" '�����-.� TM � Septic System Add Plumbing Fi�ures�Main/_Lower Level)
� ��"
� ° Water Turnaround
������r���`�`��� ����.� —
New
����" Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge)
$60.00 LBwn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge)
*Water Turnaround (add$210.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �v
TOTAL FEES$ '�
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or,g
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app oval of plans.
��o � ��l��s �
X X
ApplicanYs Printed Name ApplicanYs Signat e ',
���6� _ ' i a� � it�u� ; ; �, ,�� �r�i��h� �I
� F'�'�����,E": � I� i ` �'�'(h�hNi."'��1�'Wip�a� �- ,3 �
�
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s, a 11�7� � f 4 � dk. O � G ^ �1�FVt$W�(�si- ����1h�� I � �t�n� ���@�i � .
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p I�w�I �'. �'4�y � �;'il�_ r„�ill� i�F /'.. � ,, : � �li - lir+� �I � �' � �� ;- �,�,,y
R������3��11����"������ ���Ai�4� S ��� �� aw���ilh���� �� �ks`�,a �����T�� C I ������ .
r �I��� '�aili �ri���' �r : � � � i i p �°°'� r a�r
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� I ��iu � �h'(�, w� j � k�
�Q��, �i ����S�r���1S�i � 8� �"�t�F:���!�r''� 4 A��������8 ' �i °_ul�I��L�17'I���('� » ��-� �'�e��i I& ��.'����°��"� = .� �p a�����"�'`_
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157079
Date Issued:08/02/2019
Permit Category:ePermit
Site Address: 589 Coventry Pkwy
Lot:18 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ruth A Buchmayer
589 Coventry Pkwy
Eagan MN 55123
(651) 307-6402
Great Lakes Window & Siding
14690 Galaxie Ave, Suite 100
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168996
Date Issued:05/11/2021
Permit Category:ePermit
Site Address: 589 Coventry Pkwy
Lot:18 Block: 3 Addition: Coventry Pass 4th
PID:10-18403-03-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ruth A Buchmayer
589 Coventry Pkwy
Saint Paul MN 55123--396
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature